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Getting a handle on fee schedule charges: A look into systemwide revenue integrity

Wed, 06/13/2018

Revenue Integrity Insider - Volume 2 Issue 17

Chargemaster and Charge Capture, Reimbursement and Payment Methodologies, Revenue Integrity

Managing charges for physician fee schedules is a whole different reimbursement landscape, and revenue integrity professionals who know their way...Read More »

Q&A: Billing for observation services when using condition code 44

Wed, 06/13/2018

Revenue Integrity Insider - Volume 2 Issue 17

Ask NAHRI, Billing and Claims, Revenue Integrity

Q: In a condition code 44 scenario, may we report and bill for observation hours (revenue code 762) prior to the order for observation?Read More »

Three steps to charge code approval success

Thu, 06/07/2018

Revenue Integrity Insider - Volume 2 Issue 15

Chargemaster and Charge Capture, Revenue Integrity

Follow these steps to ensure an accurate and streamlined charge code request process.Read More »

Revenue Integrity Q&A: Revenue codes, charge reconciliation, and Medicare HMO patient status rules

Wed, 06/06/2018

Revenue Integrity Insider - Volume 2 Issue 14

Ask NAHRI, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Revenue integrity professionals often run across tough questions. On the NAHRI Forums, revenue integrity professionals can get advice from peers...Read More »

Idea exchange: NAHRI’s most buzzworthy stories

Tue, 06/05/2018

Revenue Integrity Insider - Volume 2 Issue 13

Chargemaster and Charge Capture, Coding and Documentation, Monitoring and Audits, Program Management, Revenue Integrity

NAHRI's most popular stories from the first half of the year cover KPIs, charge capture, and strategies for improving physician documentation.Read More »

Tackling dilemmas in coding, compliance, and revenue integrity: Inpatient admissions and acute MIs

Mon, 06/04/2018

Revenue Integrity Insider - Volume 2 Issue 12

Coding and Documentation, Compliance, Revenue Integrity

CMS’ rules for inpatient admission can leave providers questioning when it’s appropriate to admit a patient presenting with an uncomplicated...Read More »

Q&A: Billing anesthetic drugs with injection procedures

Wed, 05/30/2018

Revenue Integrity Insider - Volume 2 Issue 11

Ask NAHRI, Billing and Claims, Coding and Documentation, Compliance, Revenue Integrity

Q: Is it true that billing anesthetic drugs with injection procedures in outpatient clinic encounters is unbundling packaged services?Read More »